Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avir At Kaufman during CMS and state inspections, most recent first.
A resident with a stage IV pressure ulcer and multiple comorbidities was care planned for Enhanced Barrier Precautions (EBP), requiring staff to use a gown and gloves during high-contact care. During an observed wound care procedure, a Treatment Nurse performed dressing removal, wound cleansing, and redressing while wearing gloves but did not don a gown, even though EBP PPE was available outside the room. In interviews, the nurse acknowledged that residents with wounds required EBP, including gowns and gloves, and stated she forgot to wear the gown, while the DON confirmed that EBP for chronic wounds always required a gown and gloves per facility policy.
The facility's kitchen was found to have significant sanitation deficiencies, including a can opener with a black substance and rust, carbon buildup on various cooking utensils, and a microwave with unclean surfaces. The Dietary Manager was aware of these issues but was unsuccessful in resolving them. Previous Quality Assurance Monitors indicated a lack of cleaning schedules and routine cleaning, contrary to the facility's policy and FDA guidelines.
The facility failed to maintain an effective infection prevention and control program, resulting in several deficiencies. An LVN did not perform proper hand hygiene during wound care for a resident with a stage 4 pressure ulcer, increasing the risk of infection. In the laundry room, staff did not use appropriate PPE when sorting contaminated linens, potentially spreading germs. Additionally, enhanced barrier precautions were not implemented for a resident with a mid-line catheter and a urinary tract infection, as the DON mistakenly believed it was unnecessary.
A resident with severe cognitive impairment was at risk due to the facility's failure to maintain hot water temperatures within the safe range of 100°F to 110°F. Observations revealed temperatures as high as 125°F, contrary to facility policy, posing a scalding risk. The Maintenance Supervisor was responsible for monitoring these temperatures.
A medication aide left a resident's medications, including controlled substances, unattended on a medication cart due to a personal emergency. This failure to secure the medications as per facility policy was acknowledged by the ADON, DON, and Administrator, who recognized the risk of medication misuse or diversion.
A resident with severe cognitive impairment and a history of wandering eloped from the facility, crossing a highway before being found at a convenience store. Despite having a wander guard, the resident exited through a door with a delay in locking. Staff were unaware of the door issue until after the incident, highlighting a lapse in supervision and security measures.
Failure to Use Required Gown Under Enhanced Barrier Precautions During Wound Care
Penalty
Summary
Surveyors identified a deficiency in the facility’s infection prevention and control program related to the use of Enhanced Barrier Precautions (EBP) during wound care. A male resident with multiple diagnoses, including a stage IV pressure ulcer to the left calf present on admission, diabetes, osteoarthritis, and coronary atherosclerosis, was care planned for EBP. The care plan specified that staff must use a gown and gloves during high-contact resident care activities that could result in transfer of multidrug-resistant organisms (MDROs) to staff hands and clothing. The resident’s MDS indicated he was usually able to understand and be understood by others and had a BIMS score of 11, indicating moderate cognitive impairment. During an observation, the Treatment Nurse performed wound care on this resident without donning a gown, despite EBP personal protective equipment (PPE) being available outside the room. The nurse knocked, explained the procedure, performed hand hygiene, opened supplies, and wore gloves, but did not put on a gown while removing the old dressing, cleansing the wound, and applying new dressings. After completing the procedure, the nurse disposed of trash, removed gloves, and performed hand hygiene. In an interview, the Treatment Nurse acknowledged that residents with wounds required EBP, including gowns and gloves, and stated she did not wear the gown because it “slipped her mind.” The DON confirmed that EBP was required for residents with chronic wounds and that EBP for wound care always included a gown and gloves, with goggles or face shield if splashing was anticipated. The facility’s EBP policy stated that EBP is an infection control intervention using targeted gown and glove use during high-contact resident activities to reduce MDRO transmission.
Sanitation Deficiencies in Kitchen Equipment
Penalty
Summary
The facility failed to maintain proper sanitation standards in its kitchen, as observed during a survey. The can opener blade was found to have a black substance and a rusty-like material, which could potentially contaminate food during preparation. Additionally, multiple cooking utensils, including skillets, sheet pans, and muffin pans, were observed to have significant carbon buildup, indicating a lack of proper cleaning. The microwave also had a thick, hard yellow substance and a brownish substance resembling rust on its inside top surface. Interviews with the Dietary Manager revealed an awareness of the issues with the pans and an unsuccessful attempt to clean them using a chemical for carbon removal. The Dietary Manager acknowledged the importance of kitchen sanitation to prevent foodborne illness and admitted that the microwave should be cleaned after each use. The Dietary Manager also recognized that the can opener should be clean and free of rust to prevent contamination of food items. The Director of Nursing (DON) and the Administrator both emphasized the responsibility of the Dietary Manager in ensuring the cleanliness of kitchen equipment and dishware. Record reviews of Quality Assurance Monitors from previous months indicated a consistent lack of cleaning schedules and routine cleaning of kitchen equipment. The facility's policy on kitchen sanitation and cleaning schedules was not being followed, as evidenced by the repeated findings of unclean equipment and surfaces. The FDA Food Code 2022 highlights the importance of maintaining clean and easily sanitized food-contact surfaces to prevent the buildup of pathogenic organisms, which the facility failed to adhere to.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several deficiencies observed during the survey. One significant issue involved a Licensed Vocational Nurse (LVN) who did not perform proper hand hygiene during wound care for a resident with a stage 4 pressure ulcer on the sacrum/coccyx area. The LVN did not change gloves or use hand sanitizer after cleaning the wound and before applying medication and a clean dressing, which was acknowledged by the LVN, the Assistant Director of Nursing (ADON), and the Director of Nursing (DON) as a risk for infection. Another deficiency was noted in the laundry room, where staff failed to use appropriate personal protective equipment (PPE) when sorting contaminated linens. The laundry aide and housekeeping supervisor admitted to not using aprons or goggles/shields, which could lead to the spread of germs if contaminated linens came into contact with their personal clothing. The ADON confirmed that staff should prevent their clothing from contacting contaminated linen, especially when residents are on transmission-based precautions. Additionally, the facility did not implement enhanced barrier precautions for a resident with a mid-line catheter and a urinary tract infection. The resident's room lacked signage indicating the need for such precautions, and a Certified Nursing Assistant (CNA) was unaware of the need for PPE or special precautions. The DON mistakenly believed that a mid-line catheter did not require enhanced barrier precautions, contrary to the facility's policy. This oversight was acknowledged by the ADON, who stated that proper precautions are necessary to prevent the spread of germs.
Failure to Maintain Safe Hot Water Temperature
Penalty
Summary
The facility failed to maintain a safe and comfortable hot water temperature for residents, specifically in the case of a resident with severe cognitive impairment. The resident, a female with a BIMS score of 7 indicating severe cognitive impairment, required partial assistance for daily activities such as bathing and dressing. During an observation, the water temperature in the resident's bathroom sink was found to be 125°F, which is significantly higher than the safe range of 100°F to 110°F as per facility policy. Interviews with the Maintenance Supervisor, Director of Nursing (DON), and the Administrator confirmed that it was the Maintenance Supervisor's responsibility to ensure the water temperature was within the safe range. The Maintenance Supervisor acknowledged the risk of scalding at the observed temperature of 122°F. The facility's policy mandates that hot water temperatures should not exceed 110°F to prevent scalding injuries, yet this standard was not met, posing a risk to residents.
Unattended Medications on Cart
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were labeled and stored according to professional standards, specifically for one resident. During an observation, it was noted that a medication aide (MA A) left Resident #30's medications unattended on top of a medication cart. The medications included acetaminophen with codeine and aspirin, which were not secured as required. MA A admitted to leaving the medications unattended due to a personal emergency, mistakenly believing they were locked inside the cart. Interviews with facility staff, including the Assistant Director of Nursing (ADON), Director of Nursing (DON), and the Administrator, confirmed that the incident should not have occurred. They acknowledged the risk posed by leaving medications unattended, especially with residents who might wander. The facility's policy on medication storage, which requires controlled substances to be handled with special care, was not followed in this instance, leading to the deficiency.
Resident Elopement Due to Inadequate Supervision and Door Security
Penalty
Summary
The facility failed to provide adequate supervision to prevent an elopement incident involving a resident with severe cognitive impairment and a history of wandering. The resident, who had a diagnosis of unspecified dementia and a BIMS score indicating severe cognitive impairment, was identified as being at risk for elopement. Despite having a wander guard in place, the resident managed to leave the facility and cross a four-lane highway, eventually being found at a convenience store. This incident occurred on the morning of April 24, 2024, and was reported by the sheriff's department to the facility staff. Interviews with staff members revealed that the resident was last seen in his room before the shift change, and the wander guard was checked and found to be working. However, the facility's exit doors, particularly the one on Hall 300, had a delay in locking, which may have contributed to the resident's ability to leave the premises. The Maintenance Supervisor was unaware of the door delay until after the incident, and the door was repaired on the same day. Staff members acknowledged their responsibility to ensure residents' safety and prevent elopement, but the lapse in door security and supervision allowed the resident to exit the facility unsupervised. The facility's policy on wandering and elopement emphasized the need for adequate supervision and adherence to person-centered care plans to prevent such incidents. Despite these policies, the resident's care plan did not address the immediate transfer to a secure facility following the elopement event. The facility's failure to ensure the resident's safety and prevent elopement was identified as a deficiency, with the potential for serious harm to residents at risk for wandering.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Kaufman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sunflower Park Health Care | 1.8 mi | — | 19 | 0 |
| Lakeside Health And Wellness | 11.2 mi | — | 25 | 0 |
| Terrell Healthcare Center | 11.5 mi | — | 43 | 0 |
| Kemp Care Center | 11.5 mi | — | 0 | 0 |
| Windsor Rehabilitation And Healthcare | 12 mi | — | 21 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.